Evidence map›Paper›PMID 23014339›Full record

ArticleThe Journal of investigative dermatology2013

Topical antihistamines display potent anti-inflammatory activity linked in part to enhanced permeability barrier function.

Tzu-Kai Lin, Mao-Qiang Man, Juan-Luis Santiago, Kyungho Park, Truus Roelandt, Yuko Oda, Melanie Hupe, Debra Crumrine, Hae-Jin Lee, Maria Gschwandtner and 5 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of investigative dermatology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03728569 (Skin Barrier Dysfunction and the Role of Skin Barrier Restoration on Cutaneous and Systemic Inflammation in the Aged Population), which is not on this map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
6.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03728569 early_phase1terminatednot on this mapstarted 2018, after this paper: background citation

Skin Barrier Dysfunction and the Role of Skin Barrier Restoration on Cutaneous and Systemic Inflammation in the Aged Population

TypeinterventionalSponsorUniversity of MichiganRan2018 to 2021Enrolled14ConditionsCutaneous InflammationArmsVanicream Moisturizing Skin Cream, Vanicream Cleansing Soap
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 65 citations in OpenAlex.

  1. Review
  2. Review of sensory systems deployed by epidermal keratinocytes.Frontiers in cell and developmental biology · 2025
    Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Optimizing emollient therapy for skin barrier repair in atopic dermatitis.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2022
    Review
  8. Irritant Contact Dermatitis - a Review.Current dermatology reports · 2022
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Role of Resveratrol in Regulating Cutaneous Functions.Evidence-based complementary and alternative medicine : eCAM · 2020
    Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 6 institutions in 7 countries.

Tzu-Kai LinDermatology Service, Department of Veterans Affairs Medical Center, and Department of Dermatology, UCSF, San Francisco, California 94121, USA.
Mao-Qiang Man
Juan-Luis Santiago
Kyungho Park
Truus Roelandt
Yuko Oda
Melanie Hupe
Debra Crumrine
Hae-Jin Lee
Maria Gschwandtner
Jacob P Thyssen
Carles Trullas
Erwin Tschachler
Kenneth R Feingold
Peter M Elias
San Francisco VA Medical Center · USMedical University of Vienna · ATIsdin (Spain) · ESNational Cheng Kung University Hospital · TWVrije Universiteit Brussel · BEYonsei University · KR

Funding

NATURE OF THE MAMMALIAN CUTANEOUS PERMEABILITY BARRIERR01AR019098 · NIAMS · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI ELIAS, PETER M · 1986 to 2012
$4.2M
Austrian Science Fund FWF T 545NIAMS NIH HHS AR019098NIAMS NIH HHS R01 AR019098
6 · The paper itself

Abstract

Systemic antagonists of the histamine type 1 and 2 receptors (H1/2r) are widely used as anti-pruritics and central sedatives, but demonstrate only modest anti-inflammatory activity. Because many inflammatory dermatoses result from defects in cutaneous barrier function, and because keratinocytes express both Hr1 and Hr2, we hypothesized that H1/2r antagonists might be more effective if they were used topically to treat inflammatory dermatoses. Topical H1/2r antagonists additively enhanced permeability barrier homeostasis in normal mouse skin by the following mechanisms: (i) stimulation of epidermal differentiation, leading to thickened cornified envelopes; and (ii) enhanced epidermal lipid synthesis and secretion. As barrier homeostasis was enhanced to a comparable extent in mast cell-deficient mice, with no further improvement following application of topical H1/2r antagonists, H1/2r antagonists likely oppose mast cell-derived histamines. In four immunologically diverse, murine disease models, characterized by either inflammation alone (acute irritant contact dermatitis, acute allergic contact dermatitis) or by prominent barrier abnormalities (subacute allergic contact dermatitis, atopic dermatitis), topical H1/2r agonists aggravated, whereas H1/2r antagonists improved, inflammation and/or barrier function. The apparent ability of topical H1r/2r antagonists to target epidermal H1/2r could translate into increased efficacy in the treatment of inflammatory dermatoses, likely due to decreased inflammation and enhanced barrier function. These results could shift current paradigms of antihistamine utilization from a predominantly systemic to a topical approach.

Indexed as

Administration, TopicalAnimalsCell DifferentiationCimetidineDermatitis, AtopicDermatitis, ContactDiphenhydramineDisease Models, AnimalEpidermisFemaleHistamine AntagonistsHistamine H1 AntagonistsHistamine H2 AntagonistsHomeostasisIrritantsLipid MetabolismCimetidineDiphenhydramineHistamine AntagonistsHistamine H1 AntagonistsHistamine H2 AntagonistsIrritants

Identifiers

PMID23014339
PMCPMC3532566
OpenAlexW2168637564

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.